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Earning Rewards (HIA)

You can earn reward dollars in your health incentive account (HIA) by participating in healthy activities.

Your list of incentivized activities is completely customized for your unique needs. These activities have been specially designed by our team of doctors, nurses, nutritionists, exercise physiologists, and behavioral health experts to provide tools to help you address any potential health issues. Here are some of the most important healthy activities that may be incentivized:

  • MyHealth Questionnaire – This confidential assessment takes 20 minutes to complete and will ask you key questions about your health and wellness. Afterward, you’ll receive a wellness score and access to activities that can help you improve your fitness, learn about or manage a condition, or progress toward your health goals.
  • Biometric screening – This health screening can be done at your doctor’s office and measures your total cholesterol and glucose levels, as well as your blood pressure, height, weight, and body mass index (BMI).
  • Condition or lifestyle management coaching – A health coach will help you manage a chronic condition, so you can live your healthiest life possible. Chronic conditions include heart disease, diabetes, asthma, COPD, and depression. Lifestyle programs include smoking cessation, stress management, physical activity, weight management, and nutrition.

We are committed to helping you achieve your best health. Rewards for participating in a wellness program are available to all members. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means. Contact us at 1-855-395-8762, and we will work with you and your doctor to find a wellness program with the same reward that is right for you in light of your health status.

Frequently Asked Questions

How many reward dollars can I earn in my HIA in a plan year?

The most you can earn in one plan year is $250 for Self Only coverage or $500 for Self Plus One or Self and Family coverage.

Do my reward dollars in my health incentive account carry over year to year?

Yes. Any unused reward dollars—at a value up to two times your annual deductible—automatically roll over to the next year.

When can I use my reward dollars?

On the Standard HMO, you can use them toward deductible, coinsurance, and prescription drug copayments, regardless of if your deductible has been met. On the HDHP option, you must first meet your deductible, then you can use your reward dollars on coinsurance and prescription drug copayments.

Do I have to complete healthy activities with my UPMC HealthyU plan?

No, but if you choose not to, you'll miss out on savings toward your out-of-pocket medical expenses.

Can my reward dollars be used before my deductible is met?

It depends on which HealthyU plan option you have. If you are enrolled in the Standard Option HMO plan, the reward dollars in your health incentive account are automatically applied toward your deductible if it has not been met. If you are enrolled in the HDHP option, the reward dollars in your health incentive account only apply after your deductible has been met.

Do my reward dollars in my health incentive account carry over if I change plan options within UPMC Health Plan?

Yes. Any reward dollars you have earned will automatically roll over to the plan option you select within UPMC Health Plan.

Do I have to pay for the healthy activities that are considered preventive care?

No, preventive care is covered at 100 percent even if your deductible has not been met, so they are at no additional cost. Learn about our preventive health services.

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It is important to know that when you enroll in this plan, services are provided through UPMC Health Plan's participating providers as described in UPMC Health Plan's federal brochure — but the continued participation of any one doctor, hospital, or other provider cannot be guaranteed.

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